| Gecac D&a Services | |
|
Edinboro University Of Pa Ghering Health Center Edinboro PA 16444-0001 | |
| (814) 734-1218 | |
| (814) 734-2666 |
| Full Name | Gecac D&a Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Edinboro University Of Pa, Edinboro, Pennsylvania |
| Authorized Official Name and Position | C. Michael Calhoun (D&A DIVISION MANAGER) |
| Authorized Official Contact | 8148705408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gecac D&a Services 27 W 8th St Erie PA 16501-1347 Ph: (814) 870-5408 | Gecac D&a Services Edinboro University Of Pa Ghering Health Center Edinboro PA 16444-0001 Ph: (814) 734-1218 |
| NPI Number | 1215057500 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215057500 | NPI | - | NPPES |
| 1002063850013 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 257040 (Pennsylvania) | Primary |
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